What is a KanCare plan?
KanCare is the name for the State of Kansas’ Medicaid program. KanCare is managed care that combines health care (like doctor visits) with community long-term services and supports (like help in your home). You choose a KanCare health plan that provides your services.
What are your rights as a KanCare patient?
You have the right to voice concerns about your health care. You have other concerns about your health plan or your provider. Your KanCare plan is not paying for a service you got.
Does KanCare work with Medicare or Medicaid?
If you are in both programs, you will use Medicare for many of your health care needs and prescription drugs. Medicaid does not replace your Medicare Part D. You will use KanCare for your Medicaid long-term service and support needs. Medicaid may be able to help with your Medicare co-pays and deductible. Does KanCare offer rides to see my doctor?
What does a KanCare care manager do?
This is someone who works for the KanCare health plan. A care manager makes sure you get the medical care and community services you need to stay healthy and take care of any conditions you have, like diabetes or asthma. What if I don’t need community long-term services and supports?
Is Medicare the same as KanCare?
Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services. Kansas provides Medicaid through a managed care model. KanCare is the program through which the state administers Medicaid.
Is KanCare Kansas Medicaid?
The State of Kansas uses the KanCare program to provide Medicaid. KanCare started January 2013 and provides services to more than 360,000 individuals across the state. Kansas contracts with three health plans, or managed care organizations (MCOs), to manage health care for nearly all Medicaid recipients.
What does Kansas Medicaid cover for adults?
These include physical health services such as doctor appointments and hospital visits, behavioral health services, dental and vision care, pharmacy, transportation, and nursing facility care. All the services offered through the State's Home and Community Based Services waivers are part of KanCare.
Does Kansas Medicaid pay for assisted living?
Medicaid does not generally cover assisted living or continuing care retirement communities (with the exception of their skilled nursing units). It pays for care only at nursing homes and Individuals with Intellectual Disability Facilities. In Kansas, Medicaid may cover home and community-based services.
What is the maximum income to qualify for Medicaid in Kansas?
To be eligible, you must have an annual household income (before taxes) that is below the following amounts: 1. 2....Kansas Medicaid?Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows
What is the difference between Medicare and Medicaid?
The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.
What does Medicare cover in Kansas?
It usually covers inpatient care in a hospital, skilled nursing facility care, home health care, and hospice care. Part B – Medicare Part B is medical insurance. It typically covers services for outpatient care, doctor visits, preventive care, and some medical supplies.
What is the monthly income limit for food stamps in Kansas?
SNAP Max Income for Food Stamps Oct. 1, 2019, through Sept. 30, 2020Household SizeGross Monthly Income Limits (130% of poverty)Net Monthly Income Limits (100% of poverty)1$1,354$1,0412$1,832$1,4103$2,311$1,7784$2,790$2,1465 more rows
Does Kansas Medicaid cover dentures?
Dentures are covered for eligible members receiving Frail & Elderly Waiver benefits. Eligibility is based on medical necessity. Any member over age 21 can visit a participating dental provider once a year for a screening and cleaning, which includes scaling and polishing teeth.
What is the lookback period for Medicaid in Kansas?
Kansas has a 60 month (5 year) Medicaid Look-Back Period that immediately precedes the date of one's Medicaid application. During this period, Medicaid checks all past asset transfers, including asset transfers made by one's spouse, to ensure no assets were gifted or sold under fair market value.
How do you qualify for assisted living in Kansas?
Free Assisted Living Resources in Kansas. Long-Term Care Ombudsman Program. Area Agencies on Aging....Frail Elderly WaiverBe 65 years or older.Be financially eligible for Medicaid.Be examined by a qualified case manager for the level of long-term care needed.More items...
Can I get paid to take care of a family member in Kansas?
Under this program, certain family members can be paid to provide caregiving services. Services provided under this program that do not require medical training are available to be self-directed. This includes personal care and homemaker services.
Transition of Care
If you currently have a doctor you would like to continue seeing, you may want to consider checking with the three health plans below to see if your doctor accepts that plan’s coverage.
Health Plan Highlights
Look at the highlighted services below to compare additional services each plan offers. All physical, mental, and substance abuse services are the same in each MCO. The links below shows extra services you can receive in KanCare. Please contact your MCO by phone or the MCO website for additional details related to the value added services.
Keeping Your Same Providers in KanCare
No. In an emergency, go to the nearest hospital emergency room. All hospitals with emergency rooms will see anyone in an emergency situation.
What is Medicaid in Kansas?
The Kansas Department of Health and Environment (KDHE) is the agency that administers the state’s Medicaid program. Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages.
Where to mail a Kansas health insurance application?
In addition, applicants can call the Kansas Department of Health and Environment at 1-800-792-4884 for additional program information or to get an application. Completed paper applications can be mailed to KanCare Clearinghouse (P.O. Box 3599, Topeka, KS 66601-9738) or faxed to 1-844-264-6285.
What is CSRA in Medicaid?
This, in Medicaid speak, is known as the Community Spouse Resource Allowance (CSRA). This rule, like the spousal income allowance rule, is only for married couples with one spouse applying for nursing home Medicaid or a HCBS Medicaid waiver.
What is HCBS in nursing home?
2) Medicaid Waivers / Home and Community Based Services (HCBS) – there are a limited number of participant slots, which means wait lists may exist.
How much can I get Medicaid in 2021?
As of 2021, this pathway to Medicaid eligibility allows a single elderly person up to $794 / month in income, while it allows married couples as much as $1,191 / month in income.
How much can a non-applicant spouse retain in 2021?
For married couples, in 2021, the community spouse can retain half of the couples’ joint assets, up to a maximum of $130,380, as the chart indicates above.
Does Kansas have spousal asset allowance?
To be very clear, there is no spousal asset allowance for non-applicant spouses of those applying for regular Medicaid. One should be aware that Kansas has a Medicaid Look-Back Period. This is a period of 60 months (5 years) that immediately precedes the date of one’s Medicaid application.
What are Medicare covered services?
Medicare-covered hospital services include: Semi-private rooms. Meals. General nursing. Drugs as part of your inpatient treatment (including methadone to treat an opioid use disorder) Other hospital services and supplies as part of your inpatient treatment.
What is an inpatient hospital?
Inpatient hospital care. You’re admitted to the hospital as an inpatient after an official doctor’s order, which says you need inpatient hospital care to treat your illness or injury. The hospital accepts Medicare.
What does Medicare Part B cover?
If you also have Part B, it generally covers 80% of the Medicare-approved amount for doctor’s services you get while you’re in a hospital. This doesn't include: Private-duty nursing. Private room (unless Medically necessary ) Television and phone in your room (if there's a separate charge for these items)